You have it correct: if the patient meets criteria for septic shock with SIRS criteria, Sepsis, and Severe Sepsis and has a lactic acid >4, that patient will code as septic shock even if the provider does not document it.
Sean R. Townsend, M.D. Vice President of Quality & Safety California Pacific Medical Center 2330 Clay Street, #301 San Francisco, CA 94115 email [email protected]<mailto:[email protected]> office (415) 600-5770 fax (415) 600-1541 From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Tuesday, October 06, 2015 9:04 AM To: [email protected] Subject: [Sepsis Groups] coding So, just need clarification....if the patient meets criteria for septic shock with SIRS criteria, Sepsis, and Severe Sepsis and has a lactic acid >4, that patient will code as septic shock even if the provider does not document it?? The guidelines say septic shock is hypotension unresponsive to fluids AND/OR lactic acid >4. But, many of our physicians are resistant to the lactic acid, stating it can be elevated for many other reasons besides sepsis. Thank you, Debbie Debbie Chambless, MSN, RN, ARNP-C Sepsis Coordinator Osceola Regional Medical Center Kissimmee, Fl 34741 Office: 407-518-3949 Cell: 772-807-0525 ~~Recognizing sepsis as a global enemy. Hoping for global unity in finding a solution~~ [cid:[email protected]]
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